Litlhahlobo tsa mali a coagulation li laeloa ka tloaelo ke lingaka.Bakuli ba nang le maemo a itseng a bophelo bo botle kapa ba noang litlhare tsa anticoagulant ba lokela ho beha leihlo hore mali a coagulation.Empa lipalo tse ngata hakaale li bolela’ng?Ke matšoao afe a lokelang ho behoa leihlo tleliniking bakeng sa mafu a fapaneng?
Li-index tsa tlhahlobo ea ts'ebetso ea coagulation li kenyelletsa nako ea prothrombin (PT), nako e kentsoeng ea karolo ea thromboplastin (APTT), nako ea thrombin (TT), fibrinogen (FIB), nako ea ho koala (CT) le International normalized ratio (INR), joalo-joalo, lintho tse 'maloa li ka ba teng. khethiloe ho etsa sephutheloana, se bitsoang coagulation X ntho.Ka lebaka la mekhoa e fapaneng ea ho lemoha e sebelisoang ke lipetlele tse fapaneng, libaka tsa litšupiso le tsona li fapane.
Nako ea PT-prothrombin
PT e bolela ho eketsa ntho ea li-tissue (TF kapa tissue thromboplastin) le Ca2 + ho plasma ho qala mokhoa oa ho tsoa ka ntle oa coagulation le ho boloka nako ea ho kopana ha plasma.PT ke e 'ngoe ea liteko tse sebelisoang ka ho fetisisa tsa ho hlahloba lits'ebetso tsa bongaka ho hlahloba mosebetsi oa extrinsic coagulation pathway.Boleng bo tloaelehileng ba litšupiso ke metsotsoana e 10 ho isa ho e 14.
APTT - e kentsoeng nako ea karolo ea thromboplastin
APTT ke ho eketsa XII factor activator, Ca2+, phospholipid ho plasma ho qala tsela ea plasma endogenous coagulation, le ho shebella nako ea plasma coagulation.APTT hape ke e 'ngoe ea liteko tsa tlhahlobo tse sebelisoang hangata litloaelong tsa bongaka ho lekola tšebetso ea tsela ea intrinsic coagulation.Boleng bo tloaelehileng ba referense ke metsotsoana e 32 ho isa ho e 43.
INR - Karolelano e Tloaelehileng ea Machaba
INR ke matla a ISI a karo-karolelano ea PT ea mokuli ea lekiloeng ho PT ea taolo e tloaelehileng (ISI ke index ea machaba ea kutloisiso, 'me reagent e lekanngoa ke moetsi ha e tloha fekthering).Plasma e tšoanang e ile ea lekoa ka li-reagents tse fapaneng tsa ISI lilaboratoring tse fapaneng, 'me liphetho tsa boleng ba PT li ne li fapane haholo, empa litekanyetso tse lekantsoeng tsa INR li ne li tšoana, tse ileng tsa etsa hore liphetho li bapisoe.Boleng bo tloaelehileng ba litšupiso ke 0.9 ho isa ho 1.1.
Nako ea TT-thrombin
TT ke tlatsetso ea thrombin e tloaelehileng ho plasma ho lemoha mohato oa boraro oa ts'ebetso ea coagulation, e bontšang boemo ba fibrinogen ka plasma le bongata ba lintho tse kang heparin ka plasma.Boleng bo tloaelehileng ba litšupiso ke metsotsoana e 16 ho isa ho e 18.
FIB-fibrinogen
FIB ke ho eketsa palo e itseng ea thrombin ho plasma e lekiloeng ho fetola fibrinogen ka plasma ho fibrin, le ho bala litaba tsa fibrinogen ka molao-motheo oa turbidimetric.Boleng bo tloaelehileng ba litšupiso ke 2 ho isa ho 4 g/L.
Sehlahisoa sa ho senyeha ha FDP-plasma fibrin
FDP ke lentsoe le akaretsang bakeng sa lihlahisoa tsa ho senyeha tse hlahisoang ka mor'a hore fibrin kapa fibrinogen e senyehe tlas'a ketso ea plasmin e hlahisoang nakong ea hyperfibrinolysis.Boleng bo tloaelehileng ba litšupiso ke 1 ho isa ho 5 mg/L.
CT-coagulation nako
CT e bolela nako eo ka eona mali a tlohang methapong ea mali 'me a hoama ka har'a vitro.Haholo-holo e etsa qeto ea hore na lintlha tse fapa-fapaneng tsa coagulation ka har'a intrinsic coagulation pathway li haella, hore na mosebetsi oa tsona ke o tloaelehileng, kapa hore na ho na le keketseho ea lintho tsa anticoagulant.